Fig. 15. Contrast-enhanced computed tomography (CT) scan in patient with painful ophthalmoplegia, lid swelling, and proptosis. In unilateral case, note enhancing envelope of thickened sclera (arrows) on coronal (A) and axial (B) sections of left globe. C. Bilateral orbital pseudotumor shows shaggy infiltration of orbital soft tissues (arrows) surrounding globes and optic nerves.